Abstract:
Rationale: Intravenous iron is commonly use in anemia related to chronic kidney disease. Skin staining due to iron extravasation is a rare adverse reaction that can leave a long-term staining of the skin.
Presenting concerns of the patients: During iron derisomaltose infusion, patient reported iron extravasation. Five months after the incident, the skin stain related to the extravasation was still present.
Diagnosis: A case of skin staining due to iron derisomaltose extravasation was diagnosed.
Interventions/outcomes: She was reviewed by dermatology and laser therapy was offered.
Teaching points: Patients and clinicians need to be aware of this complication, and protocol needs to be put in place to minimize extravasation and its complication.
Reference:Shi R, Marin JG, Beaulieu M. Skin Staining Following Intravenous Iron Extravasation in a Patient With Chronic Kidney Disease: A Case Report. Can J Kidney Health Dis. 2023 Apr 18;10:20543581231165705. doi: 10.1177/20543581231165705. PMID: 37101846; PMCID: PMC10123906.